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1134434889
JERRY DITZ
JACKSONVILLE, NC
NPI
1134434889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 12715)
Enumeration Date
2010-08-18
Last Update Date
2010-08-18
Business Address
-- JERRY DITZ DPT
122 BRANCHWOOD SHOPPING CTR
JACKSONVILLE, NC 28546-5800
Phone number: 910-938-7555
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Mailing Address
-- JERRY DITZ DPT
PO BOX 12909
NEW BERN, NC 28561-2909
Phone number: 252-636-9800
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